The Patient Enablement Instrument-French version in a family practice setting: a reliability study

Abstract

BackgroundPatient enablement can be defined as the extent to which a patient is capable of understanding and coping with his or her health issues. This concept is linked to a number of health outcomes such as self-management of chronic diseases and quality of life. The Patient Enablement Instrument (PEI) was designed to measure this concept after a medical consultation. The instrument, in its original form and its translations into several languages, has proven to be reliable and valid. The purpose of this study was to evaluate the reliability of the French version of the PEI (PEI-Fv) in a family practice setting.MethodsOne hundred and ten participants were recruited in a family medicine clinic in the Saguenay region of Quebec (Canada). The PEI-Fv was completed twice, immediately after consultation with a physician (T1) and 2 weeks after the consultation (T2). The internal consistency of the tool was assessed with Cronbach's α and test-retest reliability by intraclass correlation coefficient.ResultsThe mean score for the PEI-Fv was 5.06 ± 3.97 (95% confidence interval [CI]: 4.30-5.81) at T1 and 4.63 ± 3.90 (95% CI: 3.82-5.44) at T2. Cronbach's α was high at T1 (α1 = 0.93; 95% CI: 0.91-0.95) and T2 (α2 = 0.93; 95% CI: 0.91-0.95). The intraclass correlation coefficient was 0.62 (95% CI: 0.48-0.74), indicating a moderate test-retest reliability.ConclusionsThe internal consistency of the PEI-Fv is excellent. Test-retest reliability was moderate to good. Test-retest reliability should be examined in further studies at a less than 2-week interval to reduce maturation bias. This instrument can be used to measure enablement after consultation in a French-speaking family practice setting.

A consulta homeopática: examinando seu efeito em pacientes da atenção básica

“…Estes resultados apontam para uma evidente resposta favorável dos pacientes à consulta homeopática realizada, com repercussão em todos os aspectos envolvidos na capacitação dos indivíduos de lidarem com seus adoecimentos. Eles foram bastante superiores aos obtidos em estudos similares realizados em outros países: 3,7 e 4,7 em dois estudos realizados no Hospital Homeopático de Glasgow, na Escócia (Bikker, Mercer, Reilly, 2005;Mercer, Reilly, Watt, 2002); 5,06 na validação da versão francesa do instrumento, quando foi aplicado em cento e dez pacientes de uma clinica de medicina de família (Hudon et al, 2011); 4,65 na validação chinesa (Lam et al, 2010), e 6,6 em estudo realizado na Croácia (Ozvaci et al, 2008).…”

“…Foi utilizado também em estudos prospectivos em serviços de atenção secundária da Escócia, juntamente com outros instrumentos de avaliação (Reilly et al, 2007;Bikker, Mercer, Reilly, 2005;Mercer, Reilly, Watt, 2002). Foi traduzido e validado para o francês (Hudon et al, 2011) e chinês (Lam et al, 2010). Na Polônia foi utilizado para comparar a atuação de médicos da atenção primária que receberam treinamento específico para uma abordagem mais holística, centrada no paciente, em relação aos que não receberam tal treinamento (Pawlikowska et al, 2002).…”

Two Principal Components, Coping and Independence, Comprise Patient Enablement in Japan: Cross Sectional Study in Tohoku Area

“…At present, the PEI has been developed in several languages, not only in Western countries, including the UK (Howie et al 1997), Croatia (Ozvacic et al 2008, Poland (Pawlikowska et al 2002), and Canada (Hudon et al 2011), but also in China (Lam et al 2010). Unfortunately, there has been no patient-reported questionnaire that reflects the patient's view of medical consultations with respect to patient enablement in Japan.…”

The process of patient enablement in general practice nurse consultations: a grounded theory study

“…Patient enablement was first used as a quantitative measure of quality in general practice by Howie et al (1997), who developed the Patient Enablement Instrument, which has been validated and used internationally (Lam et al 2010, Pawlikowska et al 2010, Kurosawa et al 2012. The majority of research examining patient enablement is in relation to general practitioners (Howie et al 1998, 1999, Mead et al 2002, McKinley et al 2004, Mercer et al 2007b, 2008, Pawlikowska et al 2010, Hudon et al 2011b, c, Banerjee & Sanyal 2012, Kurosawa et al 2012, Frost et al 2015. General practice nurses (GPNs) play an important role in general practice, however, processes that promote patient enablement in GPN consultations are not understood.…”